暨南学报(哲学社会科学版)

作者：王冬, 史卢少博

单位：南方医科大学卫生管理学院。

关键词：基层医务人员,付出—回报失衡,员工韧性,社会支持,工作风险感知

基金：国家社会科学基金重大项目“完善重大疫情防控救治体系研究”(22ZDA104)。

重大公共卫生事件下,员工韧性对于组织应对外部环境冲击具有重要意义。基层医务人员韧性的培育对于医疗系统良性健康发展愈发关键。利用769份基层医务人员调查数据实证分析重大公共卫生事件情境下基层医务人员工作付出—回报失衡与韧性关系,结果发现:工作付出—回报失衡直接负向作用于韧性;社会支持在工作付出—回报失衡与韧性之间发挥正向中介作用;工作风险感知在工作付出—回报失衡与韧性之间发挥着正向调节作用。即与低工作风险感知相比,高工作风险感知会一定程度缓和疫情防控工作付出—回报失衡对基层医务人员韧性的负向影响。重大公共卫生事件下,需通过政策有效干预基层医务人员的工作—付出回报失衡状况,并从组织和社会提供支持性环境,辅以心理素质和技能素养培训,全方位培育基层医务人员韧性。"/>template{display:none;}.mag-rich-xref-fn { cursor: pointer;}//长视频$(document).ready(function(){if($("#showLongArticleVideo") && $("#showLongArticleVideo").length && $("#showLongArticleVideo").length>0){mag_ajax_update({ele_id:'showLongArticleVideo',url:mag_currentQikanUrl() + "/CN/article/showLongArticleVideo.do?id="+$("#articleId").val()});}});$(document).ready(function(){window.metaData = {"journal":{"issn":"1000-5072","qiKanMingCheng_CN":"暨南学报（哲学社会科学版）","id":2,"qiKanMingCheng_EN":"Jinan Journal"},"fundList_cn":["国家社会科学基金重大项目“完善重大疫情防控救治体系研究”(22ZDA104)。"],"article":{"keywordList_cn":["基层医务人员","付出—回报失衡","员工韧性","社会支持","工作风险感知"],"juan":"45","zhaiyao_cn":"重大公共卫生事件下,员工韧性对于组织应对外部环境冲击具有重要意义。基层医务人员韧性的培育对于医疗系统良性健康发展愈发关键。利用769份基层医务人员调查数据实证分析重大公共卫生事件情境下基层医务人员工作付出—回报失衡与韧性关系,结果发现:工作付出—回报失衡直接负向作用于韧性;社会支持在工作付出—回报失衡与韧性之间发挥正向中介作用;工作风险感知在工作付出—回报失衡与韧性之间发挥着正向调节作用。即与低工作风险感知相比,高工作风险感知会一定程度缓和疫情防控工作付出—回报失衡对基层医务人员韧性的负向影响。重大公共卫生事件下,需通过政策有效干预基层医务人员的工作—付出回报失衡状况,并从组织和社会提供支持性环境,辅以心理素质和技能素养培训,全方位培育基层医务人员韧性。","endNoteUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/article/getTxtFile.do?fileType=EndNote&id=6693","reference":"","bibtexUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/article/getTxtFile.do?fileType=BibTeX&id=6693","articleType":"","abstractUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/10.11778/j.jnxb.20222083","qi":"5","id":6693,"nian":2023,"bianHao":"1686535947729-588222021","zuoZheEn_L":"WANG Dong, SHI Lushaobo","juanUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/Y2023","shouCiFaBuRiQi":"2023-06-12","qiShiYe":"99","qiUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/Y2023/V45/I5","lanMu_cn":"新型权利论坛","pdfSize":"1118","zuoZhe_CN":"王冬, 史卢少博","risUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/article/getTxtFile.do?fileType=Ris&id=6693","title_cn":"重大公共卫生事件下付出—回报失衡对基层医务人员韧性的影响研究","doi":"10.11778/j.jnxb.20222083","jieShuYe":"114","keywordList_en":["grassroots health workers","cost-return imbalance","employee resilience","social support","job risk perception"],"endNoteUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/article/getTxtFile.do?fileType=EndNote&id=6693","zhaiyao_en":"The cultivation of employee resilience is increasingly critical to the long-term development of organizations. As a characteristic factor of work, work cost-return imbalance has been confirmed to affect staff resilience. However, there are few literature on the resilience behavior mechanism of medical staff in the context of public health events. Especially, there is a lack of studies on the resilience of grassroots health workers in the context of epidemic prevention and control. Based on 769 survey data of grassroots health workers, this paper empirically analyzed the relationship between the imbalance of work cost-return and resilience of grassroots health workers in the context of major public health events. The results showed that the disequilibrium of work cost-return directly negatively affected resilience. Social support plays a positive mediating role in the relationship between work cost-return imbalance and resilience. Job risk perception plays a positive role in moderating the relationship between work cost-return imbalance and job resilience. That is, compared with low job risk perception, high job risk perception can mitigate the negative impact of the disequilibrium of work cost-return in epidemic prevention and control work on the resilience of grassroots medical staff to some extent. Compared with the existing studies, this paper expands in three aspects: First, it integrates the theory of cost-return imbalance and the theory of resilience, explores the work characteristic factors affecting the resilience of grassroots health workers, and expands the previous research on the mechanism of staff resilience behavior from a new perspective. The second is to reveal the protective role of social support in the process of work cost-return imbalance affecting the resilience of grassroots health workers, and propose suggestions to strengthen workplace support and social network construction to improve the resilience of medical staff in response to major public health events. Third, different from most previous studies, this paper found that job risk perception has a positive effect on the relationship between work cost-return imbalance and the resilience of grassroots health workers, reflecting the differentiation of job risk perception under different risk situations. Under major public health events, it is necessary to effectively intervene the work cost-return imbalance of grassroots health workers through policies, and provide a supportive environment from the organization and society, supplemented by psychological quality and skill literacy training, so as to comprehensively cultivate the resilience of grassroots health workers and improve their productivity.","bibtexUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/article/getTxtFile.do?fileType=BibTeX&id=6693","abstractUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/10.11778/j.jnxb.20222083","zuoZheCn_L":"王冬, 史卢少博","juanUrl_cn":"https://jnxb.jnu.edu.cn/skb/CN/Y2023","lanMu_en":"","qiUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/Y2023/V45/I5","zuoZhe_EN":"WANG Dong, SHI Lushaobo","risUrl_en":"https://jnxb.jnu.edu.cn/skb/EN/article/getTxtFile.do?fileType=Ris&id=6693","title_en":"The Influence of Cost-Return Imbalance on Grassroots Health Workers' Resilience in the Context of Major Public Health Events","hasPdf":"true"},"authorNotes_cn":["王冬、史卢少博,南方医科大学卫生管理学院。"]};if(window.metaData && (!window.metaData.authorNotesCommon_cn && !window.metaData.authorNotesCorresp_cn && window.metaData.authorNotes_cn)){window.metaData.authorNotesCommon_cn = window.metaData.authorNotes_cn;}if(window.metaData && (!window.metaData.authorNotesCommon_en && !window.metaData.authorNotesCorresp_en && window.metaData.authorNotes_en)){window.metaData.authorNotesCommon_en = window.metaData.authorNotes_en;}var _nlmdtdXml = $("#article_nlmdtdXml").val();var magDir = _nlmdtdXml.replace(/\/[^\/]+$/,'');window.metaData.magDir = magDir;new mag_vue({ el: '#metaVue', //dataUrl: mag_currentQikanUrl() + '/EN/article/getRichHtmlJson.do?articleId='+$("#articleId").val(), data:window.metaData, loading:true, doTextFun:function(text){ return doDataJsonText(text); }, doAfterFun:function(selector,jsonData){doMagVueAfter(selector,jsonData);}});var pars = {attachType:'PDF',id:$("#articleId").val(),json:true};jQuery.post($("#mag-common-contextPath").val()+"/CN/article/showArticleFile.do?" + new Date().getTime(), pars, function(data){var json=null;if(data.match(/^\[json\].*/g)){json=eval("("+data.replace(/^\[json\]/g,"")+")");}if(json && json.status == 1){//有权限}else{//无权限$("#no-access-div").show();}});mag_ajax({url:mag_currentQikanUrl() + '/CN/article/getRichHtmlJson.do',data:{articleId:$("#articleId").val(),token:'dacce26107894660911396e202c352ff',referer:document.referrer},dataType:"json",async:"false",success:function(json){if(json.richHtmlJson && json.richHtmlJson.article){if(json.trans){var _nlmdtdXmlCN = $("#article_nlmdtdXmlCN").val();var magDirCN = _nlmdtdXmlCN.replace(/\/[^\/]+$/,'');json.richHtmlJson.magDir=magDirCN;}else{json.richHtmlJson.magDir=magDir;}new mag_vue({ el: '#bodyVue', data:json.richHtmlJson, doTextFun:function(text){ return doDataJsonText(text); }, doAfterFun:function(selector,jsonData){doMagVueAfter(selector,jsonData);}});}}});//altmetricif($.trim($("#article_doi").val())!=''){$.ajax({url:'https://api.altmetric.com/v1/doi/'+$.trim($("#article_doi").val())+'?callback=altmetric_callback',//url:'https://api.altmetric.com/v1/doi/10.1007/s13238-016-0264-7?callback=altmetric_callback',dataType:'jsonp'});}mag_rich_menu(jQuery);$(function(){ $('#autoMenu').autoMenu();})$("#autoMenu").niceScroll({cursorcolor: "#ccc", //滚动条的颜色cursoropacitymax: 0, //滚动条的透明度，从0-1 touchbehavior: false, //使光标拖动滚动像在台式电脑触摸设备 true滚动条拖动不可用 cursorwidth: "6px", //滚动条的宽度 单位默认px cursorborder: "0", // 游标边框css定义 cursorborderradius: "3px", //滚动条两头的圆角 autohidemode: true, //是否隐藏滚动条 true的时候默认不显示滚动条，当鼠标经过的时候显示滚动条 zindex: "auto", //给滚动条设置z-index值 railvalign:'defaul',railpadding: {top: 0,right: -6,left: 0,bottom: 0}, //滚动条的位置});window.autoMenuFlag=true;$("#relatedArticles").niceScroll({cursorcolor: "#ccc", //滚动条的颜色cursoropacitymax: 0, //滚动条的透明度，从0-1 touchbehavior: false, //使光标拖动滚动像在台式电脑触摸设备 true滚动条拖动不可用 cursorwidth: "6px", //滚动条的宽度 单位默认px cursorborder: "0", // 游标边框css定义 cursorborderradius: "3px", //滚动条两头的圆角 autohidemode: true, //是否隐藏滚动条 true的时候默认不显示滚动条，当鼠标经过的时候显示滚动条 zindex: "auto", //给滚动条设置z-index值 railvalign:'defaul',railpadding: {top: 0,right: -6,left: 0,bottom: 0}, //滚动条的位置});//公式序号 居右jQuery(".mag-xml-disp-formula").each(function() {var _this = jQuery(this);var _label= _this.children("label");if(typeof(_label.html())!="undefined"){_this.children("label").remove();_this.wrap("");_this.parent().parent().append(""+_label.html()+"");}});$('body').click(function(){$('.daochu_div').hide();$('.qipao').hide();})$('.qipao').click(function(event){event.stopPropagation();})/*参考文献显示隐藏*/$('.biaotijiantoush1').click(function(event){if($(this).attr('class')=='glyphicon glyphicon-triangle-top biaotijiantoush biaotijiantoush1'){$(this).parents('.mag_main_zhengwen_left_div_ckwx_table_benwenyiny').next('.mag_main_zhengwen_left_div_ckwx_table_ckwx_xiangqing').stop().slideUp();$(this).attr('class','glyphicon glyphicon-triangle-bottom biaotijiantoush biaotijiantoush1');}else if($(this).attr('class')=='glyphicon glyphicon-triangle-bottom biaotijiantoush biaotijiantoush1'){$(this).parents('.mag_main_zhengwen_left_div_ckwx_table_benwenyiny').next('.mag_main_zhengwen_left_div_ckwx_table_ckwx_xiangqing').stop().slideDown();$(this).attr('class','glyphicon glyphicon-triangle-top biaotijiantoush biaotijiantoush1');}event.stopPropagation();});//加载补充材料mag_ajax_update({ele_id:'showArticle_suppls',url:mag_currentQikanUrl() + '/CN/article/showArticleSuppls.do',data:{articleId:$("#articleId").val()}});//加载专题mag_ajax_update({ele_id:'showArticle_subjects',url:mag_currentQikanUrl() + '/CN/subject/showSubjectListByArticle.do',data:{articleId:$("#articleId").val(),forwardJsp:'showArticle'}});//渲染公式mag_mathJax();});function altmetric_callback(json){if(json && json.score){if(json.score - parseInt(json.score) > 0){$("#altmetric-score").html(parseInt(json.score)+1);}else{$("#altmetric-score").html(parseInt(json.score));}$(".main_content_center_right_duoweidu_div").css("width","25%");$("#altmetric-a").show();$("#altmetric-a").attr("href",json.details_url);}}function richClickAuthor(name){var searchSQL = "((("+mag_advSearchValReplace(name)+"[Author]) AND 2J[Journal]) AND year[Order])";mag_request({url:mag_currentQikanUrl() + '/CN/searchresult',data:{searchSQL:searchSQL}});}function richClickKeyword(keyword){var searchSQL = "((("+mag_advSearchValReplace(keyword)+"[Keyword]) AND 2J[Journal]) AND year[Order])";mag_request({url:mag_currentQikanUrl() + '/CN/searchresult',data:{searchSQL:searchSQL}});}function mag_share(){$("#bShare_more_a").click();}function loadRelatedArticles(){if($("#showRelatedArticles") && $("#showRelatedArticles").length>0){//加载过了}else{mag_loading();mag_ajax_update({ele_id:'relatedArticles-content',url:mag_currentQikanUrl() + '/CN/article/relatedArticle.do',data:{id:$("#articleId").val(), forwardJsp:'showArticle'},complete:function(){mag_layer_close();}});}}function showMetrics(){mag_window_location(mag_currentQikanUrl() + '/CN/metrics/'+$("#articleId").val());}function piaofuFn(a,fnId){var content=''+$("#mag-rich-fn-"+fnId).html()+'';piaofu(a,content);}function huoqukuanduimg(){//}function doDataJsonText(text){var str = text;//var _nlmdtdXml = $("#article_nlmdtdXml").val();//var magDir = _nlmdtdXml.replace(/\/[^\/]+$/,'');str = str.replace(/";ss += "";var shuomingTitle = "";var shuomingContent = '';if(fig.titleCn && fig.titleCn!=''){shuomingTitle = fig.titleCn;if(fig.titleContentCn && fig.titleContentCn!=''){shuomingContent += fig.titleContentCn;}}if(shuomingTitle==''){if(fig.titleEn && fig.titleEn!=''){shuomingTitle = fig.titleEn;}if(fig.titleContentEn && fig.titleContentEn!=''){shuomingContent += fig.titleContentEn;}}else{if(fig.titleEn && fig.titleEn!=''){shuomingContent += ""+fig.titleEn+"

来源：2023年第5期

《暨南学报(哲学社会科学版)》期刊编辑部

查看暨南学报(哲学社会科学版)杂志2023年第5期